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NEVADA CVS PHARMACY, L.L.C.
CHC33641-00 SOUTHERN NEVADA HEALTH DISTRICT
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Covered Entity Details
Entity Name
SOUTHERN NEVADA HEALTH DISTRICT
Subdivision Name
Southern Nevada Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC33641-00
Entity Address
280 S Decatur Blvd
Las Vegas, NV 89107-2936
Grant Number
H80CS33641
Participating Start Date
1/1/2020
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
NEVADA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08814
2525 S BUFFALO DR
LAS VEGAS, NV 89117
Pharmacy Comments
Contract Details
Approval Date
1/11/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Norlon Munroe, Controller
(702) 759-1540
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/11/2022
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